Provider Demographics
NPI:1366986440
Name:GEORGE, KERI LYNN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KERI
Middle Name:LYNN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6521 ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:DELMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15626-2402
Mailing Address - Country:US
Mailing Address - Phone:724-468-8764
Mailing Address - Fax:724-468-8785
Practice Address - Street 1:6521 ROUTE 22
Practice Address - Street 2:
Practice Address - City:DELMONT
Practice Address - State:PA
Practice Address - Zip Code:15626-2402
Practice Address - Country:US
Practice Address - Phone:724-468-8764
Practice Address - Fax:724-468-8785
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN611787163W00000X
PASP016794363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse